﻿<%@ Control Language="C#" ClassName="DailyTransFields" %>

<asp:FormView ID="FormView1" runat="server">
	<ItemTemplate>
		<table border="0" cellpadding="3" cellspacing="1">
			<tr>
        <td class="literal"><asp:Label ID="lbldataUpdPaymentDate" runat="server" Text="Upd Payment Date:" AssociatedControlID="dataUpdPaymentDate" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataUpdPaymentDate" Text='<%# Bind("UpdPaymentDate", "{0:d}") %>' MaxLength="10"></asp:TextBox><asp:ImageButton ID="cal_dataUpdPaymentDate" runat="server" SkinID="CalendarImageButton" OnClientClick="javascript:showCalendarControl(this.previousSibling);return false;" />
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataUpdPayAcctcode" runat="server" Text="Upd Pay Acctcode:" AssociatedControlID="dataUpdPayAcctcode" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataUpdPayAcctcode" Text='<%# Bind("UpdPayAcctcode") %>' MaxLength="15"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataPmntModeRevised" runat="server" Text="Pmnt Mode Revised:" AssociatedControlID="dataPmntModeRevised" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataPmntModeRevised" Text='<%# Bind("PmntModeRevised") %>' MaxLength="15"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataPatientName" runat="server" Text="Patient Name:" AssociatedControlID="dataPatientName" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataPatientName" Text='<%# Bind("PatientName") %>' MaxLength="33"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataDateVisit" runat="server" Text="Date Visit:" AssociatedControlID="dataDateVisit" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataDateVisit" Text='<%# Bind("DateVisit", "{0:d}") %>' MaxLength="10"></asp:TextBox><asp:ImageButton ID="cal_dataDateVisit" runat="server" SkinID="CalendarImageButton" OnClientClick="javascript:showCalendarControl(this.previousSibling);return false;" /><asp:RequiredFieldValidator ID="ReqVal_dataDateVisit" runat="server" Display="Dynamic" ControlToValidate="dataDateVisit" ErrorMessage="Required"></asp:RequiredFieldValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataTotalProc" runat="server" Text="Total Proc:" AssociatedControlID="dataTotalProc" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataTotalProc" Text='<%# Bind("TotalProc") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataTotalProc" runat="server" Display="Dynamic" ControlToValidate="dataTotalProc" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataTotalPhar" runat="server" Text="Total Phar:" AssociatedControlID="dataTotalPhar" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataTotalPhar" Text='<%# Bind("TotalPhar") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataTotalPhar" runat="server" Display="Dynamic" ControlToValidate="dataTotalPhar" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataTotalAmt" runat="server" Text="Total Amt:" AssociatedControlID="dataTotalAmt" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataTotalAmt" Text='<%# Bind("TotalAmt") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataTotalAmt" runat="server" Display="Dynamic" ControlToValidate="dataTotalAmt" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataTotalAmtVnd" runat="server" Text="Total Amt Vnd:" AssociatedControlID="dataTotalAmtVnd" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataTotalAmtVnd" Text='<%# Bind("TotalAmtVnd") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataTotalAmtVnd" runat="server" Display="Dynamic" ControlToValidate="dataTotalAmtVnd" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataSrvAmount" runat="server" Text="Srv Amount:" AssociatedControlID="dataSrvAmount" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataSrvAmount" Text='<%# Bind("SrvAmount") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataSrvAmount" runat="server" Display="Dynamic" ControlToValidate="dataSrvAmount" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataSrvPerc" runat="server" Text="Srv Perc:" AssociatedControlID="dataSrvPerc" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataSrvPerc" Text='<%# Bind("SrvPerc") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataSrvPerc" runat="server" Display="Dynamic" ControlToValidate="dataSrvPerc" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataVatAmount" runat="server" Text="Vat Amount:" AssociatedControlID="dataVatAmount" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataVatAmount" Text='<%# Bind("VatAmount") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataVatAmount" runat="server" Display="Dynamic" ControlToValidate="dataVatAmount" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataVatPerc" runat="server" Text="Vat Perc:" AssociatedControlID="dataVatPerc" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataVatPerc" Text='<%# Bind("VatPerc") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataVatPerc" runat="server" Display="Dynamic" ControlToValidate="dataVatPerc" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataVatNumber" runat="server" Text="Vat Number:" AssociatedControlID="dataVatNumber" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataVatNumber" Text='<%# Bind("VatNumber") %>' MaxLength="10"></asp:TextBox><asp:RequiredFieldValidator ID="ReqVal_dataVatNumber" runat="server" Display="Dynamic" ControlToValidate="dataVatNumber" ErrorMessage="Required"></asp:RequiredFieldValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataVatNumberRevised" runat="server" Text="Vat Number Revised:" AssociatedControlID="dataVatNumberRevised" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataVatNumberRevised" Text='<%# Bind("VatNumberRevised") %>' MaxLength="10"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataCmsNumber" runat="server" Text="Cms Number:" AssociatedControlID="dataCmsNumber" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataCmsNumber" Text='<%# Bind("CmsNumber") %>' MaxLength="5"></asp:TextBox><asp:RequiredFieldValidator ID="ReqVal_dataCmsNumber" runat="server" Display="Dynamic" ControlToValidate="dataCmsNumber" ErrorMessage="Required"></asp:RequiredFieldValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataUpdVatCenter" runat="server" Text="Upd Vat Center:" AssociatedControlID="dataUpdVatCenter" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataUpdVatCenter" Text='<%# Bind("UpdVatCenter") %>' MaxLength="5"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataUpdRemark" runat="server" Text="Upd Remark:" AssociatedControlID="dataUpdRemark" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataUpdRemark" Text='<%# Bind("UpdRemark") %>' MaxLength="50"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataRateCurr" runat="server" Text="Rate Curr:" AssociatedControlID="dataRateCurr" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataRateCurr" Text='<%# Bind("RateCurr") %>'></asp:TextBox><asp:RangeValidator ID="RangeVal_dataRateCurr" runat="server" Display="Dynamic" ControlToValidate="dataRateCurr" ErrorMessage="Invalid value" MaximumValue="999999999" MinimumValue="-999999999" Type="Double"></asp:RangeValidator>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataUpdSunImport" runat="server" Text="Upd Sun Import:" AssociatedControlID="dataUpdSunImport" /></td>
        <td>
					<asp:RadioButtonList runat="server" ID="dataUpdSunImport" SelectedValue='<%# Bind("UpdSunImport") %>' RepeatDirection="Horizontal"><asp:ListItem Value="True" Text="Yes" Selected="True"></asp:ListItem><asp:ListItem Value="False" Text="No"></asp:ListItem><asp:ListItem Value="" Text="Pick ..." Enabled="False"></asp:ListItem></asp:RadioButtonList>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataUpdSunImportDate" runat="server" Text="Upd Sun Import Date:" AssociatedControlID="dataUpdSunImportDate" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataUpdSunImportDate" Text='<%# Bind("UpdSunImportDate", "{0:d}") %>' MaxLength="10"></asp:TextBox><asp:ImageButton ID="cal_dataUpdSunImportDate" runat="server" SkinID="CalendarImageButton" OnClientClick="javascript:showCalendarControl(this.previousSibling);return false;" />
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataUpdInvStat" runat="server" Text="Upd Inv Stat:" AssociatedControlID="dataUpdInvStat" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataUpdInvStat" Text='<%# Bind("UpdInvStat") %>' MaxLength="6"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataJobCorp" runat="server" Text="Job Corp:" AssociatedControlID="dataJobCorp" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataJobCorp" Text='<%# Bind("JobCorp") %>' MaxLength="100"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataReceived" runat="server" Text="Received:" AssociatedControlID="dataReceived" /></td>
        <td>
					<asp:RadioButtonList runat="server" ID="dataReceived" SelectedValue='<%# Bind("Received") %>' RepeatDirection="Horizontal"><asp:ListItem Value="True" Text="Yes" Selected="True"></asp:ListItem><asp:ListItem Value="False" Text="No"></asp:ListItem><asp:ListItem Value="" Text="Pick ..." Enabled="False"></asp:ListItem></asp:RadioButtonList>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataReceivedDate" runat="server" Text="Received Date:" AssociatedControlID="dataReceivedDate" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataReceivedDate" Text='<%# Bind("ReceivedDate", "{0:d}") %>' MaxLength="10"></asp:TextBox><asp:ImageButton ID="cal_dataReceivedDate" runat="server" SkinID="CalendarImageButton" OnClientClick="javascript:showCalendarControl(this.previousSibling);return false;" />
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataReturned" runat="server" Text="Returned:" AssociatedControlID="dataReturned" /></td>
        <td>
					<asp:RadioButtonList runat="server" ID="dataReturned" SelectedValue='<%# Bind("Returned") %>' RepeatDirection="Horizontal"><asp:ListItem Value="True" Text="Yes" Selected="True"></asp:ListItem><asp:ListItem Value="False" Text="No"></asp:ListItem><asp:ListItem Value="" Text="Pick ..." Enabled="False"></asp:ListItem></asp:RadioButtonList>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataReturnedDate" runat="server" Text="Returned Date:" AssociatedControlID="dataReturnedDate" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataReturnedDate" Text='<%# Bind("ReturnedDate", "{0:d}") %>' MaxLength="10"></asp:TextBox><asp:ImageButton ID="cal_dataReturnedDate" runat="server" SkinID="CalendarImageButton" OnClientClick="javascript:showCalendarControl(this.previousSibling);return false;" />
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataReceptionist" runat="server" Text="Receptionist:" AssociatedControlID="dataReceptionist" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataReceptionist" Text='<%# Bind("Receptionist") %>' MaxLength="100"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataVoidType" runat="server" Text="Void Type:" AssociatedControlID="dataVoidType" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataVoidType" Text='<%# Bind("VoidType") %>' MaxLength="50"></asp:TextBox>
				</td>
			</tr>
			<tr>
        <td class="literal"><asp:Label ID="lbldataRemark" runat="server" Text="Remark:" AssociatedControlID="dataRemark" /></td>
        <td>
					<asp:TextBox runat="server" ID="dataRemark" Text='<%# Bind("Remark") %>' MaxLength="250"></asp:TextBox>
				</td>
			</tr>
			
		</table>

	</ItemTemplate>
</asp:FormView>


